First successful aortic valve implantation with the CoreValve ReValving System via right subclavian artery access: a case report.
We successfully implanted a bioprosthetic aortic valve via the right subclavian artery within the framework of the CoreValve transapical aortic valve replacement (TAVR) ReValving (CoreValve, Irvine, CA, USA) clinical trial on November 20, 2007, at the Clinic for Cardiovascular Surgery at the German Heart Center Munich, Technical University Munich. The self-expanding aortic valve prosthesis is primarily designed for retrograde delivery across the aortic valve. The described approach via the right subclavian artery was performed because of severe peripheral vascular disease of the femoral and iliac arteries, as well as the left subclavian artery, and because a transapical delivery system was not available at the time of surgery.
Ruge
Hendrik
H
Clinic for Cardiovascular Surgery, German Heart Center Munich, Technical University Munich, Munich, Germany. ruge@dhm.mhn.de
Lange
Rüdiger
R
Bleiziffer
Sabine
S
Hutter
Andrea
A
Mazzitelli
Domenico
D
Will
Albrecht
A
Schreiber
Christian
C
Laborde
Jean-Claude
JC
Bauernschmitt
Robert
R
D000368:Aged; D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000601:surgery*; D001705:Bioprosthesis; D019544:Equipment Failure Analysis; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D011474:Prosthesis Design; D013348:Subclavian Artery / Q000601:surgery*; D016896:Treatment Outcome